Riverside Primary Care Specialists, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

159419 Issued in MA

Legal business name

RIVERSIDE PRIMARY CARE SPECIALISTS, INC.

Practice address

295 Varnum Ave
Lowell, MA 01854-2134

Phone

(978) 251-0171

Fax

(978) 251-0257

NPI assigned

Oct 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Pickul, M.D.

Title

President

Phone

(978) 251-0171

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1811325020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-251-0171",
            "fax_number": "978-251-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-251-0171",
            "fax_number": "978-251-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PRIMARY CARE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "PICKUL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-251-0171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monicah Rivera, PMHNP
• Nadmi Rivera
• Osvaldo Rivera
• Yangel Rivera
• Riverside Medical Group PC
• Riverside Surgical Associates, PC
• Riverside Surgical of Lowell PC
• Danielle Joanne Roberge
• Chelsea Roberts
• Ria Roberts, MD

• Internal Medicine Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.